Dr Maria Riaz

27/11/2025

Simple moves and significant results😌

08/11/2025

:
indications include pain, dysfunction, or restrictions after immobilization, while techniques involve applying passive, skilled movements to joints and surrounding tissues to restore motion and function. Specific techniques involve oscillating glides or movements, often using Grades III and IV of the Maitland technique, in a direction that complements the desired joint motion (e.g., dorsal glide to promote wrist flexion).

:
•Pain and guarding: To reduce pain and muscle guarding through neurological effects.
Functional loss: To overcome restrictions and improve overall function caused by stiffness or dysfunction.
•Post-immobilization: To help regain range of motion after periods of immobilization, such as casting for a distal radius fracture, say ScienceDirect.com.
•Hypermobility: Techniques can also be performed to manage hypermobile wrists following prolonged immobilization, notes Physiopedia.

:
•Joint glides: These are passive movements, often performed with the patient in a relaxed position.
Dorsal glide: Moving the carpal bones dorsally (towards the back of the hand) to increase wrist flexion.
•Palmar glide: Moving the carpal bones palmarly (towards the palm) to increase wrist extension.
Oscillating mobilizations: These involve small-amplitude (Grade IV) or large-amplitude (Grade III) movements to the point of resistance.
•Mobilisation with Movement (MWM): Combining joint mobilization with active patient movement, such as the wrist extension and supination MWM for distal radius fractures.

:
A therapist typically applies a stabilizing force to the forearm while moving the carpal bones.
Techniques can be applied with or without the assistance of straps or other external aids.
The therapist may oscillate the joint for 30-60 seconds, assessing the patient's pain level.

01/11/2025

Oedema, commonly known as swelling, occurs due to an abnormal accumulation of fluid in body tissues. It can be a clinical sign of underlying systemic or localized conditions. Identifying its cause is essential for proper diagnosis and treatment.

Some key causes include:

Increased extracellular fluid volume seen in conditions like congestive heart failure, renal failure, and liver disease.

High local venous pressure resulting from deep venous thrombosis, pregnancy, or pelvic tumors.

Lymphatic obstruction due to infections, malignancy, or congenital abnormalities.

Low plasma oncotic pressure as seen in nephrotic syndrome, liver failure, or malnutrition.

Increased capillary permeability caused by inflammation, sepsis, or calcium channel blockers.

01/11/2025

Radial Nerve* ➡️ *Wrist Drop*
Loss of wrist & finger extension. Often due to humeral fractures.
*💪 Rehab*: Splinting, strengthening extensors, e-stim.

✅ *Median Nerve* ➡️ *Carpal Tunnel Syndrome*
Numbness/tingling in thumb, index, middle fingers.
*💪 Rehab*: Nerve gliding, wrist splints, ergonomic correction.

✅ *Ulnar Nerve* ➡️ *Claw Hand*
Loss of fine motor control, 4th-5th fingers deformity.
*💪 Rehab*: Hand therapy, splinting, sensory re-education.

✅ *Long Thoracic Nerve* ➡️ *Winging of Scapula*
Serratus anterior paralysis. Scapula protrudes during arm movement.
*💪 Rehab*: Scapular stability, serratus strengthening.

✅ *Peroneal Nerve* ➡️ *Foot Drop*
Inability to dorsiflex foot. Risk of falls.
*💪 Rehab*: AFO brace, gait training, dorsiflexor strengthening.

✅ *Sciatic Nerve* ➡️ *Sciatica*
Shooting pain down the leg. Usually from disc herniation.
*💪 Rehab*: Neural mobilization, core strengthening, postural training.

✅ *Femoral Nerve* ➡️ *Femoral Nerve Palsy*
Weakness in hip flexion, knee extension.
*💪 Rehab*: Quad strengthening, balance training.

✅ *Upper Trunk (Brachial Plexus)* ➡️ *Erb’s Palsy*
Common in birth injuries. Arm held in "waiter’s tip" position.
*💪 Rehab*: ROM, motor re-ed, functional play therapy.

✅ *Lower Trunk* ➡️ *Klumpke’s Paralysis*
Affects hand muscles, may show "claw hand" + Horner's syndrome.
*💪 Rehab*: Fine motor training, sensory work, splints.

30/10/2025

28/10/2025

From a physical therapy perspective, differentiating between UMN and LMN lesions helps tailor rehabilitation approaches. In UMN lesions, therapy focuses on tone regulation, functional mobility, and motor control training. In LMN lesions, we focus on muscle re-education, prevention of atrophy, and maintaining joint mobility through early intervention ✅

27/10/2025

💪 Key exercises include:

Hamstring and hip flexor stretches for posterior chain flexibility

Piriformis and knee-to-chest stretches to ease sciatic irritation

Bridging and prone knee extensions for core and glute activation

Child’s pose and spinal rotations for gentle decompression.

27/10/2025

Just have firm belief♥️

30/07/2025

Nothing is impossible in this world just be consistent,success will be on your path☺️ results are evident within 20days only.

29/07/2025